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General NPI Number Information
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NPI Number | 1750712253
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Entity Type | Individual
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Provider Name | ELIZABETH ARDO DC
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Gender | Female
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 1000 MARKET ST SUITE 1
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City | BLOOMSBURG
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State | PA
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Zip | 17815-2600
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Country | US
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Telephone | 570-498-0886
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Fax |
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Provider Business Mailing Address
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Address Line | 535 5TH ST
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City | NESCOPECK
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State | PA
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Zip | 18635-1306
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Country | US
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Telephone | 570-498-0886
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC010806
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | AJ010590
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License Number State | PA
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